Women's Health Chapter 9

11. When the nurse is alone with a client, the client says, "It was all my fault. The house was so messy when my partner got home, and I know my partner hates that." Which response would be most appropriate? A. "It is not your fault. No one deserves to be hurt." B. "What else did you do to make your partner so angry with you?" C. "You need to start to clean the house early in the day." D. "Remember, your partner works hard and you need to meet your partner's needs."

A

12. When developing a presentation for a local community organization on violence, the nurse is planning to include statistics on intimate partner violence and its effects on children. When addressing these statistics, what is the rate of the cases involving a parent and the children being abused? A. 1 in 8 B. 1 in 3 C. 1 in 5 D. 1 in 10

A

24. A nurse is conducting an in-service program on sexual abuse and violence for a group of nurses working at the community clinic. After teaching the group, the nurse determines that the teaching was successful when the group describes incest as involving which action? A. sexual exploitation by blood or surrogate relatives B. sexual abuse of individuals over age 18 C. violent aggressive assault on a person D. consent between perpetrator and victim.

A

29. A nurse is working with a victim of intimate partner violence. Which intervention would be most important for this client? A. providing for the client's safety B. reassuring the client he or she is not alone C. documenting the violence D. educating about the cycle of violence

A

5. A nurse is developing a plan of care for a victim of intimate partner violence. Which intervention would be least appropriate for the nurse to include? A. assisting the client to project anger B. providing information about a safe home and crisis line C. teaching the client about the cycle of violence D. discussing the client's legal and personal rights

A

8. When a nurse suspects that a client may be a victim of intimate partner violence, the first action should be to: A. ask the client about the injuries and if they are related to intimate partner violence. B. encourage the client to leave the abuser immediately C. set up an appointment with an intimate partner violence counselor D. ask the suspected abuser about the victim's injuries

A

30. After teaching a group of young adults about sexual violence, the nurse determines that the teaching was successful when the group identifies which acts as a type of sexual violence? Select all that apply. A. female genital mutilation B. bondage C. infanticide D. human trafficking E. Prostitution

A,B,C,D

21. A nurse is working with a victim of intimate partner violence, helping the client develop a safety plan. Which items would the nurse suggest that the client take when leaving? Select all that apply. A. driver's license B. Social Security number C. cash D. phone cards E. health insurance cards

A,B,C,E

26. While obtaining a history from a woman at a regularly scheduled physical, the nurse notices various bruises on the client's upper extremity. The client dismisses the bruising and changes the subject. Which additional information about the woman as a victim would the nurse discuss with the healthcare provider when relaying the physical assessment data? Select all that apply. A. A dysfunctional family system B. A low academic achievement C. A victim of childhood violence D. Limited alcohol comsumption E. Economic stress

A,B,C,E

25. A nurse is teaching a group of college students about rape and sexual assault. The nurse determines that additional teaching is necessary based on which statements by the group? Select all that apply. A. Most victims of rape tell someone about it. B. Few individuals falsely cry "rape." C. Women have rape fantasies desiring to be raped. D. A rape victim feels vulnerable and betrayed afterwards. E. Medication and counseling can help a rape victim cope.

A,C

1. The nurse is presenting a class at a local community health center on violence during pregnancy. Which possible complication would the nurse include? A. gestational hypertension B. chorioamnionitis C. placenta previa D. postterm labor

B

10. In addition to providing privacy, which action would be most appropriate initially in situations involving suspected intimate partner violence? A. Allow the client to have a good cry over the situation. B. Tell the client, "Injuries like these don't usually happen by accident." C. Call the police immediately so they can question the victim. D. Ask the abuser to describe his side of the story first.

B

16. A nurse is assessing a rape survivor for posttraumatic stress disorder. The nurse asks the survivor, "Do you feel as though you are reliving the trauma?" The nurse is assessing for which effect of the trauma? A. physical symptoms B. intrusive thoughts C. avoidance D. hyperarousal

B

19. A nurse is caring for a recent rape victim. The nurse would expect this client to experience which phase first? A. denial B. disorganization C. reorganization D. integration

B

22. A nurse is presenting a discussion on sexual violence at a local community college. When describing the incidence of sexual violence, the nurse would identify that a woman has which chance of experiencing a sexual assault in her lifetime? A. 1 in 3 B. 1 in 5 C. 2 in 15 D. 3 in 20

B

23. A nurse is reading a journal article about sexual abuse. Which age range would the nurse expect to find as the peak age for such abuse? A. 7 to 10 years B. 8 to 12 years C. 14 to 18 years D. 18 to 22 years

B

4. A physically abused pregnant woman reports to the nurse that her spouse has stopped hitting her and promises never to hurt her again. Which response by the nurse would be most appropriate? A. "That's great. I wish you both the best." B. "Remember, the cycle of violence often repeats itself." C. "He probably didn't mean to hurt you." D. "You need to consider leaving him."

B

6. A nurse is describing the cycle of violence to a community group. When explaining the first phase, the nurse would include which description? A. somehow triggered by the victim's behavior B. characterized by tension-building and minor battery C. associated with loss of physical and emotional control D. like a honeymoon that lulls the victim

B

9. A nurse is listening to a client who is a victim of intimate partner violence. The client is describing how events would unfold with the partner. The nurse interprets the client's statements and identifies which action as characteristic of the second phase of the cycle of violence? A. The batterer is contrite and attempts to apologize for the behavior. B. The physical battery is abrupt and unpredictable. C. Verbal assaults begin to escalate toward the victim. D. The victim accepts the anger as legitimately directed at him or her.

B

27. A nurse is working with a victim of violence to develop a safety plan. The nurse teaches the client about the necessary items to take when leaving. The nurse determines that additional teaching is needed when the client identifies which items? Select all that apply. A. photo ID B. phone cards C. most of her clothing D. cash E. health insurance cards

B,C

20. A group of nurses is preparing a violence prevention program. The group is researching information about risk factors for intimate partner violence related to the individual. Based on their research, which risk factors would the nurses expect to address? Select all that apply. A. dysfunctional family system B. low academic achievement C. victim of childhood violence D. heavy alcohol consumption E. economic stress

B,C,D

17. A group of nurses are preparing a program about rape and sexual assault for a community health center. Which information would the nurses include as being most accurate? Select all that apply. A. Most victims of rape tell someone about it. B. Few people falsely cry "rape." C. Women have rape fantasies desiring to be raped. D. A rape victim feels vulnerable and betrayed afterwards. E. Medication and counseling can help a rape victim cope.

B,D,E

28. A nurse suspects that a client is experiencing intimate partner violence and uses a screening protocol to gather additional information from the client. When asking the client direct questions, which behavior by the nurse would be appropriate to elicit accurate information? Select all that apply. A. Look away from the client when asking any questions. B. Avoid the use of technical language. C. Minimize what the client says. D. Use leading questions. E. Wait patiently for the client to answer.

B,E

13. A nurse is working with a group of clients who are victims of intimate partner violence. The nurse focuses interventions on which area as the primary goal? A. convincing them to leave the abuser soon B. helping them cope with their life as it is C. empowering them to regain control of their life D. arresting the abuser so he or she cannot abuse again

C

14. A nurse is preparing a teaching plan for victims who are recovering from intimate partner violence. The nurse would focus the teaching on ways to: A. enhance their personal appearance and hairstyle. B. develop their creativity and work ethic. C. improve their communication skills and assertiveness. D. plan more nutritious meals to improve their own health.

C

15. During a follow-up visit to the clinic, a victim of sexual assault reports changing jobs and moving to another town. The client tells the nurse, "I pretty much stay to myself at work and at home." The nurse interprets these findings to indicate that the client is in which phase of rape recovery? A. disorganization B. denial C. reorganization D. integration

C

3. When describing an episode of intimate partner violence, the victim reports attempting to calm the partner down to keep things from escalating. The nurse interprets this behavior as reflecting which phase of the cycle of violence? A. battering B. honeymoon C. tension-building D. reconciliation

C

18. After teaching a class at a local college campus on date rape, the nurse determines that the teaching was successful when the class identifies which substance as the most common date rape drug? A. gamma hydroxybutyrate B. liquid ecstasy C. ketamine D. rohypnol

D

2. Which approach would be most appropriate when counseling a client who is a suspected victim of intimate partner violence? A. Offer the client a pamphlet about the local shelter for victims of intimate partner violence. B. Call the client at home to ask some questions about the marriage. C. Wait until the client comes in a few more times to make a better assessment. D. Ask, "Have you ever been physically hurt by your partner?"

D

7. A nurse is working with a victim of violence. Which statement would be most appropriate to empower the victim to take action? A. "Give your partner more time to come around." B. "Remember—children do best in two-parent families." C. "Change your behavior so as not to trigger the violence." D. "You are a good person, and you deserve better than this."

D